{
"Npi": {
"NPI": "1922158583",
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"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "BHM OF CHESTER LLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
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"OtherLastName": null,
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"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "PO BOX 700",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CHESTER",
"MailingAddressStateName": "SC",
"MailingAddressPostalCode": "29706-0700",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "803-581-7319",
"MailingAddressFaxNumber": "803-581-8588",
"FirstLinePracticeLocationAddress": "570 CENTER STREET",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "CHESTER",
"PracticeLocationAddressStateName": "SC",
"PracticeLocationAddressPostalCode": "29706",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "803-581-7391",
"PracticeLocationAddressFaxNumber": "803-581-8588",
"EnumerationDate": "01/12/2007",
"LastUpdateDate": "08/22/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "KAZER",
"AuthorizedOfficialFirstName": "AUDREY",
"AuthorizedOfficialMiddleName": "T",
"AuthorizedOfficialTitle": "CHEIF OPERATING OFFICER",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "336-706-5740",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "310400000X",
"TaxonomyName": "Assisted Living Facility",
"LicenseNumber": "CRC1399",
"LicenseNumberStateCode": "SC",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}